HomeMy WebLinkAbout07-10-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES r•.- ',NOZZCE,QF,.S{NHERITANCE TAX
INHERITANCE TAX DIVISION QPP~•~~~~' ,ALL_OWANCE OR DISALLOWANCE
PO BOX 280601 t'_;flF I?EDl}ETLQNS AND ASSESSMENT OF TAX
- - REV-1547 EX AFP (01-09)
HARRISBURG PA 17128-0601 ~~"' ' "~
~~~g ~~~ ~ Q ~ ~: ~6 DATE 07-06-2009
ESTATE OF WOJTOWICH FOREST P
DATE OF DEATH 02-29-2008
C,~~,`~~;{ ~- FILE NUMBER 21 08-0252
"'"~' `'(~"yam CUMBERLAND
QRP~-!A~v J ~i~J~ ~: COUNTY
DARLA WOJTOWICH 1i "~~`~ `• "~` ''~~
~~ ,,,,.. ACN 101
278 STUMPSTOWN RD APPEAL DATE: 09-04-2009
MECHANICSBURG PA 17055 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE --~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1547 EX AFP (01-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF WOJTOWICH FOREST P FILE N0. 21 08-0252 ACN 101 DATE 07-06-2009
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To insure proper
2 Stocks and Bonds (Schedule B) C2) ,00 credit to your account,
. 00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) C3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) 907.72 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .00
6. Jointly Owned Property (Schedule F) (6) 65, 000.00
7. Transfers (Schedule G) (7) .00
Cg) 65,907.72
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: 7,775.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 141 .400.00
11. Total Deductions (11) 149.175.00
12. Net Value of Tax Return C12) 83,267.28-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) •00
14. Net Value of Estate Subject to Tax (lG) 83,267.28-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESS MENT OF TAX:
• 00
00 . 00
15. Amount of Line 14 at Spousal rate (15) X =
16. Amount of Line 14 taxable at Lineal/Class A rate (16) •00 X 04 5 = .00
17. Amount of Line 14 at Sibling rate C17) -00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) •00 X 15 = .00
19. Principal Tax Due
(19)= . 00
, .,..
PAYMENT
DATE
RECEIPT
NUMBER
DISCDUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE C IF TOTAL DUE IS LESS THAN $lr NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
e RGCiiun cEE REVERSE STnE OF THiS FORM FOR INSTRUCTIONS.)